The Abdominal Exam


LSU Physician Champions - Dr. Daniel Raines and Dr. Kellen Jex


Physical Exam Signs of Cirrhosis

Physical Exam Signs of Cirrhosis


Many of the signs of cirrhosis are noted with visual inspection of the abdomen: A distended abdomen with bulging flanks, and shift dullness can represent ascites Dilated peri-umbilical veins, known as Caput Medusa, can be seen with cirrhosis and portal hypertension. Spider angiomas, also known as nevus araneus or spider nevus, typically consist of a central red arteriole which is surrounded by thin walled capillaries. These lesions blanch with pressure. 10% of healthy individuals in may have a few lesions in sun exposed areas of the upper torso, but higher numbers of lesions raise the suspicious for liver disease (as well as thyrotoxicosis and estrogen therapy) Jaundice, without or without excoriations, can be an indicator of cirrhosis

Other signs include:
Fetor Hepaticus
Encephalopathy
Icterus
Gynecomastia
Decreased axillary hair
Palmar erythema